Skilled nursing facility · CMS certification number 245364
ANNANDALE CARE CENTER INC
ANNANDALE, Minnesota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 42
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: June 17, 2025, Payment Denial. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for October 1, 2023 to September 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 8, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,391,151 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,037,501 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,353,650 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,837,381 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$7,483,731 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,508,575 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,024,844 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,024,844 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 16,470 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,103 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 5,435 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,163 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 13,701 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 32 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,358.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1420411, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended September 30, 2023
Cost report for October 1, 2022 to September 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,548,982 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $734,158 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,814,824 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,094,337 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$6,279,513 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,176,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,103,093 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$969,886 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,956 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,435.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 249.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375961, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended September 30, 2022
Cost report for October 1, 2021 to September 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 28, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,334,095 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $79,055 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,255,040 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,920,468 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$5,665,428 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,792,290 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,873,138 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,713,290 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,000 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 46 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,918.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345025, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended September 30, 2021
Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 12, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,624,938 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $256,777 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,368,161 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,638,492 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,270,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,626,290 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $355,959 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $355,959 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,451 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 397.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315885, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended September 30, 2020
Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 11, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,915,522 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $378,539 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,536,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,805,762 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$268,779 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $455,718 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $186,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $186,939 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,115 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,424.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 265.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283665, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended September 30, 2019
Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,721,729 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $360,154 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,361,575 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,957,115 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$595,540 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $504,832 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$90,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$90,708 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,642 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 72 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,987 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1255471, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended September 30, 2018
Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 17, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,410,792 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $459,401 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,951,391 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,127,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$175,617 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $474,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $299,046 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $299,046 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,873 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,334 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 231.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1222314, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended September 30, 2017
Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 28, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,571,304 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $510,203 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,061,101 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,586,466 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $474,635 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $462,677 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $937,312 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $937,312 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,472 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,456.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1217154, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended September 30, 2016
Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,011,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $690,412 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,321,174 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,535,472 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$214,298 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $446,844 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $232,546 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $232,546 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 879.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1155600, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended September 30, 2015
Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 20, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,991,941 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $586,460 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,405,481 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,731,177 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$325,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $420,217 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $94,521 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$366,405 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,179 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 987.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121923, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended September 30, 2014
Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 4, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,828,730 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $584,577 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,244,153 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,284,631 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$40,478 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $365,846 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,368 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $318,415 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,353 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.13 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1118629, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended September 30, 2013
Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,678,735 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $520,366 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,158,369 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,964,250 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $194,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $276,141 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $470,260 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $470,260 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,849 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,138.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108792, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,355,319 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $541,289 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,814,030 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,932,807 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$118,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $315,207 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $196,430 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $196,430 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,224 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,153.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1078237, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 26, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,097,481 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,937,434 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $160,047 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $269,250 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $429,297 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,858 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 608.23 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 123.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434967, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,924,624 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,887,741 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $36,883 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $283,954 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $320,837 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.15 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,158.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 180.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 421549, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 22, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,648,808 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,521,205 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $127,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $209,327 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $336,930 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,194 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.61 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 855.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 181.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 391637, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 2, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,489,836 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,493,118 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,282 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,757 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $456,522 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$316,047 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 56 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 927.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 386.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 359809, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,272,191 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,037,440 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $234,751 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $162,204 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $16,630 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $380,325 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,042 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 937.1 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 194.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 332895, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,972,183 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,760,624 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $211,559 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $129,124 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,913 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $337,770 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,168 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 476.54 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.08 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300177, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 24, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,671,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,618,126 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $53,183 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $75,463 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $11,518 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $117,128 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,079 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 613.17 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 185.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 270926, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on March 27, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,312,384 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,420,353 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$107,969 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,252 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $25,283 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,488 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 757.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 200.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 275847, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,138,002 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,070,069 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $67,933 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $141,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $209,680 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,743 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 101 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 446.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 205355, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 24, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,794,848 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,869,853 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$75,005 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $154,248 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $79,243 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,694 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 103 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 577.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 191.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 195690, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,504,891 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,691,236 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$186,345 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,375 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$52,970 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,971 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.85 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,427 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 344.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 150054, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended September 30, 2000
Cost report for October 1, 1999 to September 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 25, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,698,936 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,824,455 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$125,519 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,428 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$48,091 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,279 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.64 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,052.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42208, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended September 30, 1999
Cost report for October 1, 1998 to September 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,289,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,358,499 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$68,895 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58,391 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$10,504 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,727 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,297.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 357.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42206, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 16, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,416,447 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,272,682 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $143,765 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,233 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $207,998 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,157 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 585.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 197.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 42205, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended September 30, 1997
Cost report for October 1, 1996 to September 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,015,360 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,077,946 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$62,586 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $177,833 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $115,247 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,687 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 26 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 834.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28813, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 20, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,005,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,137,649 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$132,045 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,835 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $28,345 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$95,555 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,709 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 88.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 482.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 28811, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NISKA, ELSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/11/2023 |
| WATKINS, DOUGLAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2023 |
| BROWN, SHELDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2024 |
| GRUYS, KATHERINE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2023 |
| MILLNER, ROGER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 04/01/2013 |
| DIRCKS, LINDA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2020 |
| MANUEL, ANGELA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2022 |
| MILLER, MARK | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2015 |
| NISKA, ELSA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/11/2023 |
| NISKA, ELSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/11/2023 |
| WATKINS, DOUGLAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ANNANDALE CARE CENTER (enrollment ID O20120227000180).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| DOUGLAS WATKINS | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELSA NISKA | Individual | ADP OF THE SNF | Not stated in the filing | 1/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHERINE GRUYS | Individual | CORPORATE DIRECTOR | 0 | 3/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROGER MILLNER | Individual | CORPORATE DIRECTOR | 0 | 4/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHELDON BROWN | Individual | CORPORATE DIRECTOR | 0 | 4/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANGELA MANUEL | Individual | CORPORATE OFFICER | 33 | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELSA NISKA | Individual | CORPORATE OFFICER | 0 | 1/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA DIRCKS | Individual | CORPORATE OFFICER | 33 | 4/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK MILLER | Individual | CORPORATE OFFICER | 34 | 4/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DOUGLAS WATKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ELSA NISKA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/11/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2025: RICHARD FEENEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICHARD FEENEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICHARD FEENEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ED SKOMOROH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: DOUGLAS WATKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: DOUGLAS WATKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDA DIRCKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ANGELA MANUEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SHELDON BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- September 1, 2024: JOHN DRISTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
Recent changes on this record
- April 8, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 1, 2025: RICHARD FEENEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICHARD FEENEY no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: RICHARD FEENEY no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ED SKOMOROH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: DOUGLAS WATKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: DOUGLAS WATKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since May 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: LINDA DIRCKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ANGELA MANUEL (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: SHELDON BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since April 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- March 1, 2025: ELSA NISKA (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 1, 2025; associated with this enrollment since January 11, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-03-01.csv
- September 1, 2024: JOHN DRISTE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-09-01.csv
- April 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- March 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 12, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 11, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 14, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- April 17, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- December 28, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- April 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- April 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- February 4, 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 26, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- September 19, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- June 26, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- December 13, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- December 22, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- December 2, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- January 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- January 24, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- March 27, 2007: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- January 24, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- January 26, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 24, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- June 19, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 25, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- June 6, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- October 16, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 13, 2025 | August 13, 2025 | 1 | 0 |
| 2 | May 15, 2024 | May 15, 2024 | 2 | 7 |
| 3 | July 26, 2023 | July 26, 2023 | 2 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
5 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| August 13, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | September 15, 2025 |
| June 17, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Yes | Deficient, Provider has date of correction | July 23, 2025 |
| October 23, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| July 26, 2023 | Health | F 0790 | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
| July 26, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | September 29, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| June 17, 2025 | Payment Denial | July 17, 2025 | 6 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | ANNANDALE CARE CENTER |
| Date First Approved to Provide Medicare and Medicaid Services | 1986-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Wright |
| Telephone Number | 3202743737 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 42 |
| Average Number of Residents per Day | 38.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on ANNANDALE CARE CENTER INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On April 8, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for ANNANDALE CARE CENTER INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Minnesota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Other public records in Minnesota
- CENTRAL IRON RANGE SANITARY SEWER DISTRICT WWTP, CHISHOLM Water discharge permit
- MONTEVIDEO, MONTEVIDEO Water discharge permit
- LUVERNE WASTEWATER TREATMENT FACILITY, LUVERNE Water discharge permit
- NEW PRAGUE, NEW PRAGUE Water discharge permit
- DETROIT LAKES, DETROIT LAKES Water discharge permit
- SAINT MICHAEL, SAINT MICHAEL Water discharge permit
- NORTH KOOCHICHING AREA SAN DIS, INTERNATIONAL FALLS Water discharge permit
- MELROSE, MELROSE Water discharge permit
- CENTRAL SPECIALTIES INC - PLANT 6, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 5, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 4, ALEXANDRIA Air emission source
- CENTRAL SPECIALTIES INC - PLANT 3, ALEXANDRIA Air emission source
- INTEX CORP, ALBERTVILLE Air emission source
- HAWKINSON CONSTRUCTION CO INC - PLANT 2, GRAND RAPIDS Air emission source
- TRI CITY PAVING INC, LITTLE FALLS Air emission source
- KNIFE RIVER CORP N CENTRAL - PLANT 7, LITTLE FALLS Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 245364.